Prior Auth Required
0864T - Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceLow-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy
Procedure / Service Description
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, - Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, 0863T including device interrogation and programming; transmitter component only 0864T Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy A0430 Fixed Wing Air Transport A0431 Rotary Wing Air Transport
Likely documents
- Confirm benefit details
- Submit clinical notes if requested by the plan
Next actions
- Confirm the current plan policy before submission.
- Use the insurer authorization workflow for this listed code.